Provider Demographics
NPI:1114009164
Name:KANE, DONALD LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:LEE
Last Name:KANE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:5700 E PIMA STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5601
Mailing Address - Country:US
Mailing Address - Phone:520-382-2819
Mailing Address - Fax:520-382-2832
Practice Address - Street 1:5301 E GRANT ROAD
Practice Address - Street 2:TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2805
Practice Address - Country:US
Practice Address - Phone:520-324-1922
Practice Address - Fax:520-324-1088
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ33232080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ571936-07Medicaid
AZ571936OtherAHCCCS
AZ571936OtherAHCCCS